Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD2323 | HI |
N | 207YS0123X | Facial Plastic Surgeon | MD2323 | HI |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | MD2323 | HI |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD2323 | HI |
NPI | 1215982277 |
---|---|
Provider Name | Dr. Andrew Don |
First Address | Wailuku, HI 96793-2365 |
Second Address | Wailuku, HI 96793-2365 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03329601 | (05) | HI |
D36106 | (02) | HI |
HMSA | 03680-6 (01) | HI |